Larry Clinton Marable in Desoto - Addiction (substance Use Disorder)
Larry Clinton Marable - NPI 1831357706
Larry Clinton Marable is a Addiction (substance Use Disorder) in Desoto, Texas. Larry Clinton Marable practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Larry Clinton Marable is 1831357706. The last update date is 2008-05-28.
Larry Clinton Marable's current location address is 910 Teakwood Ln, Desoto, Texas. You can contact this provider via phone number 4692235474. The mailing address for Larry Clinton Marable is 910 Teakwood Ln, Desoto, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Clinton Marable |
|---|---|
| Address | 910 Teakwood Ln, Desoto, Texas |
| Phone Number | 4692235474 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCDC |
NPI Number Detail
| NPI Number | 1831357706 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 910 Teakwood Ln |
|---|---|
| City | Desoto |
| State | Texas (TX) |
| Post Code | 751155256 |
| Phone Number | 4692235474 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 7691 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Post Comment/ Review Below
What is the Larry Clinton Marable's unique identification number?
The Larry Clinton Marable has been assigned the NPI (National Provider Identifier) Number 1831357706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Larry Clinton Marable's facilities are situated?
The facilities of Larry Clinton Marable are physically located at the following address: 910 Teakwood Ln, Desoto, TX, 751155256.
What is Larry Clinton Marable's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Clinton Marable's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Larry Clinton Marable receive the assignment of its 1831357706 from the Centers for Medicare & Medicaid Services?
The Larry Clinton Marable was issued its 1831357706 by the Centers for Medicare & Medicaid Services on 2008-05-28.
As of what date were the Larry Clinton Marable's details last updated?
The information pertaining to the Larry Clinton Marable, including its address, specialty, and other details, was most recently updated on 2008-05-28.